Active NPI
Jillyn Lontoc Soriano Amoroso, OD
- Optometrist
- Downey, CA
National Provider Identifier
1174053011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33705TLG
- Practice address
- 8970 Apollo Way SPC A9-B
Downey, CA 90242-4030 - Phone
- (562) 861-0444
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33705TLG | CA | Primary |
Addresses
Primary practice location
8970 Apollo Way SPC A9-B
Downey, CA 90242-4030
Mailing address
8603 Moody St
Cypress, CA 90630-2218
Phone (562) 715-7805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33705TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jillyn Amoroso OD Inc | Optometrist | Current | Accepting new patients |
| Dr. Aira Canlas, OD, Inc | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Downey, CA
- NPI 1518811611
-
- Optometrist
- Los Angeles, CA
- NPI 1306310404
-
- Eyewear Supplier
- Downey, CA
- NPI 1588719967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1174053011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8603 MOODY ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302218",
"telephone_number": "562-715-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8970 APOLLO WAY SPC A9-B",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902424030",
"telephone_number": "562-861-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOROSO",
"first_name": "JILLYN",
"middle_name": "LONTOC SORIANO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33705TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.